Physician

Andrew Higgins, MD

According to 2025 Medicare claims, Andrew Higgins, MD (NPI: 1215466487) practices urology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is ENDEAVOR HEALTH MEDICAL GROUP (NPI: 1497701882; TIN: 363738206) and primary practice location at 60035-2433. Higgins is affiliated with the POM ACO (ACO ID: A1297), participating under the MSSP model.

Higgins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 449 traditional Medicare patients, billed 1,190 HCPCS/CPT codes, and received $93,485 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,049 prescription claims across 320 beneficiaries totaling $74,475 in drug costs, led by Myrbetriq (Mirabegron). 2023 DME data shows 15 claims. Open Payments data shows 1 records totaling $136. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $2,061 to $74,475. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$47K$93K2022 Medicare payment: $5,839 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $32,950 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $93,485 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20223443$5,839
2023203302$32,950
20244491,190$93,485

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$37K$74K2018 Drug cost: $2,061 (USD; Tot_Drug_Cst)2019 Drug cost: $9,648 (USD; Tot_Drug_Cst)2020 Drug cost: $2,387 (USD; Tot_Drug_Cst)2021 Drug cost: $11,997 (USD; Tot_Drug_Cst)2022 Drug cost: $4,430 (USD; Tot_Drug_Cst)2023 Drug cost: $17,492 (USD; Tot_Drug_Cst)2024 Drug cost: $74,475 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20183992$2,061
2019116233$9,648
202073157$2,387
202168177$11,997
202275149$4,430
2023138266$17,492
20243201,049$74,475

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$9.2K$18K2023 Medicare payment: $18,442 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R15$18,442
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more104104$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more268363$78
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7078$40
74420Imaging of urinary tract following injection of a contrast agent4052$19
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's177214$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron722,642$39,584
Tamsulosin HclTamsulosin Hcl26320,451$4,453
SilodosinSilodosin523,556$4,367
Alfuzosin Hcl ErAlfuzosin Hcl19414,793$4,021
FinasterideFinasteride13811,772$2,512

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$136Laborie Medical Technologies Corp.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Andrew Higgins, MD?

Tedicare shows public-source Medicare data for Andrew Higgins, MD (NPI 1215466487), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Andrew Higgins, MD have ACO affiliation data?

Andrew Higgins, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297).

What billing organization is linked to Andrew Higgins, MD?

Andrew Higgins, MD is linked to ENDEAVOR HEALTH MEDICAL GROUP (billing NPI 1497701882) in the available physician profile data.

Does Andrew Higgins, MD have Open Payments data?

Andrew Higgins, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.